Hemostasis, Fluids and Electrolytes

Blood Transfusion Therapy and Nursing Care Practice Questions

20 free Blood Transfusion Therapy and Nursing Care practice questions for the NCLEX Exam, each with the correct answer and a detailed explanation. Open any question below, or take the full set as an interactive quiz.

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All Blood Transfusion Therapy and Nursing Care questions

20 questions
  1. Q1. Before initiating a blood transfusion, what should the nurse's first action be?
  2. Q2. What is a critical safety step just prior to administering a unit of blood?
  3. Q3. How long should the nurse monitor vital signs after initiating a transfusion?
  4. Q4. Which intravenous fluid is compatible for priming and flushing the blood administration set?
  5. Q5. What is the maximum time a unit of red blood cells should hang from start to finish?
  6. Q6. When a patient develops dyspnea, cough, hypertension, and jugular vein distension during a transfusion, what reaction is suspected?
  7. Q7. What should a nurse do if a patient's pre-transfusion vital signs show Temp 100.2 °F, HR 98, BP 110/70?
  8. Q8. In the event of an acute hemolytic transfusion reaction, what is the first nursing action?
  9. Q9. Which patient is at greatest risk for a transfusion reaction requiring very slow infusion rate?
  10. Q10. During a transfusion, if a patient complains of itching and develops hives but is hemodynamically stable, what should the nurse do?
  11. Q11. Which blood product is most appropriate for a patient with active major hemorrhagic anemia needing oxygen‐carrying capacity?
  12. Q12. How should a nurse approach a patient who refuses transfusion for religious reasons?
  13. Q13. After the transfusion is complete, what post-transfusion monitoring is appropriate?
  14. Q14. Which signs during transfusion suggest a febrile non-hemolytic transfusion reaction?
  15. Q15. What care adjustment should the nurse make for a patient with renal failure receiving a blood transfusion?
  16. Q16. What is the correct statement about the Y-type blood administration set?
  17. Q17. If a unit of red blood cells was released from the blood bank 45 minutes ago and remains at room temperature, what should the nurse do next?
  18. Q18. When a patient suddenly develops hypotension, chest pain, and dark urine during a transfusion, what reaction is most likely?
  19. Q19. When a patient post-transfusion presents crackles at lung bases, increased BP, and shortness of breath, what should the nurse do?
  20. Q20. What key nurse teaching should be given to a patient about to receive a transfusion?